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Ach Enrollment Form Template
STATE:
*
ZIP CODE:
*
COMPANY CONTACT:
*
CONTACT PHONE:
*
AUTHORIZED SIGNATURE:
*
TITLE:
*
DATE (MM/DD/YYYY):
*
SOCIAL SECURITY OR FEIN NO:
*
EMAIL:
PLEASE RETURN AN ORIGINAL, COMPLETED FORM, ALONG WITH **VOIDED CHECK, DIRECTLY
TO THE ADDRESS BELOW TO INITIATE ACH PROCESSING SETUP. YOU WILL BE ESTABLISHED
AS AN ACH VENDOR AND PAYMENTS WILL BE MADE VIA ACH UPON COMPLETION OF THE BANK
VERIFICATION PROCESS. (POSTING TO BANK ACCOUNT IS WITHIN 48 HOURS FROM DATE
OF TRANSFER) ***...
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